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CLETUS FONCHINGONG CHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RRT

Contact information

Practice address
5664 OAKVIEW TER, LIBERTY TWP, OH 45011
(919) 884-1088
Mailing address
5664 OAKVIEW TER, LIBERTY TWP, OH 45011
(919) 884-1088

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
RCP.14456
OH
2279E0002X
Emergency Care Registered Respiratory Therapist
Primary

Other

Enumeration date
10/02/2023
Last updated
10/02/2023
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